Transcript Document 7214981

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Transition and
Appointments in
Kansas Agencies
Interim Secretary of KDHE:
Acting Secretary John Mitchell
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environments.
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Bureau of Child Care &
Health Facilities
 Consists of three primary
sections with director(s)
for each:
 Child Care (Corrie Edwards &
Rachel Berroth)
 Health Occupations &
Credentialing (Marla Rhoden)
 Health Facilities (Charles
Moore)
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environments.
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Our Bureau Chief is
Joseph Kroll
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sustainable environments.
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Our Vision – Healthy Kansan’s living in safe
sustainable environments.
We are just one of
many Bureaus….
This is us! So you
see, we are just one
part of a very large
system .
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environments.
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…and still there is
more!
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sustainable environments.
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Child Care consist of 2
sections :
CHILD CARE:
The Department administers
the licensing law as a
preventive program to
assure that out-of-home
care for children and
maternity patients will not
be exploitive, unsafe, or
unhealthy.
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safe sustainable environments.
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(Child Care continued)
 The main purpose
of the law is to
protect the
health, safety,
and welfare of
children receiving
care away from
their parents and
home. It is also a
consumer
protection law
assuring parents
that the care they
are paying for
meets minimum
standards of good
care.
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sustainable environments.
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Registration or Licensure
(depending on the number of children
in care) is required regardless of the
motivation for providing care, and
whether or not there is advertisement
of or payment for services. The
essential fact is that a child or
children receive care away from their
own homes.
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environments.
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Foster Care:
 The State Department of
Health and Environment
does not place children in
residential care. Children
are placed by parents or
guardian, by a public
agency such as a social and
rehabilitation services, or
by a private child placing
agency licensed to perform
a placement service.
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in safe sustainable environments.
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Various kinds of homes
are:
Family Foster Home
 Twenty-four hour
family care for one to
four children between
the ages of infancy to
16 years of age.
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Group Boarding Home
Twenty-four hour
non-secure care for five to
ten children between the ages
of infancy to 16 years of age.
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Residential Center
Twenty-four hour non-secure
care for over ten children
between the ages of infancy to
16 years of age.
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sustainable environments.
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Attendant Care Facility
Non-secure care not to
exceed 24 hours excluding
weekends and holidays for
juveniles taken into custody.
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sustainable environments.
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Detention Center
A secure public or
private facility which is used for
the lawful custody of accused or
adjudicated juvenile offenders
under 16 years of age pending
court disposition.
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sustainable environments.
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Secure Care Center
A secure youth residential
facility, other than a juvenile
detention facility, used to provide care
and treatment for alleged or
adjudicated children in need of care
pursuant to the Kansas code for the
care of children.
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sustainable environments.
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Secure Residential Treatment
Facility
A secure facility operated or structured to
provide a therapeutic residential care
alternative to psychiatric hospitalization for
five or more youth with a diagnosis of
severe emotional, behavioral, or psychiatric
condition.
"Treatment" means comprehensive,
individualized, goal-directed, therapeutic
services provided to youth.
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living in safe sustainable
environments.
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Special Categories
of Service
Requiring a
License
 Child Placing Agency
 Maternity Care
 Maternity Center or Hospital
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living in safe sustainable
environments.
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Health Occupations &
Credentialing
 Kansas law recognizes over 30
health occupational groups for
which licensing, registration, or
certification is provided. There
are 11 regulatory bodies that
issue credentials to those
professions. Health Occupations
Credentialing (HOC) issues
licenses to dietitians, speechlanguage pathologists,
audiologists, and adult care home
administrators.
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living in safe sustainable
environments.
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Health Occupations &
Credentialing (continued)
 Certification programs
administered by HOC include
nurse aides, home health aides,
and medication aides. Other
related professions or paraprofessions administered through
this section include operators of
assisted living facilities or
residential care facilities, activities
directors, and social service
designees for adult care homes
(ACH) in Kansas. (ACH’s are
regulated by the Kansas
Department on Aging)
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living in safe sustainable
environments.
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Also administered by HOC and related to
the aide certification program is the
Kansas Nurse Aide Registry, which is
federally mandated to assure that only
qualified individuals with no findings of
abuse, neglect or exploitation on their
records are employed to provide direct care
services to residents of adult care facilities.
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sustainable environments.
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Health Facilities consist of
both medical facilities and
non-long term care entities.
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living in safe sustainable
environments.
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Health Facilities
staff:
 Our section employs 10 RN’s
that work as health facility
survey staff that tour the
various facilities we regulate to
assure they are meeting the
licensing and/or certification for
Medicare.
 We also have one State Survey
Manager and an assistant, Risk
Management Specialist, 2 Sr.
Admin Assistants, & a
Certification Specialists
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living in safe sustainable
environments.
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The health
facilities gang.
Our section regulates approximately
850 entities. The list of what we
regulate follows…….
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We regulate/license
or certify for
Medicare:
 Medical Facilities
(KSA 65-425):
 General Hospitals –State Licensed
 Critical Access Hospitals (CAH) –State Licensed
 Special Hospitals–State Licensed
 Ambulatory Surgery Centers (ASC) –State
Licensed
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We regulate/license
or certify for
Medicare:
Non-Long Term Care Entities:
 Home Health Agencies (HHA) –State Licensed
 *Hospice




*End Stage Renal Dialysis Centers (ESRD)
*Rural Health Clinics (RHC)
*Outpatient Physical Therapy (OPPT)
*Mobile X-Ray
*Comprehensive Outpatient Rehabilitation
Facilities (CORF)
 * These are Medicare Certified only. There
is no state licensing.
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sustainable environments.
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The web site for
Child Care and
Health Facilities is:
Found at
www.kdheks.g
ov at the
Health tab.
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living in safe sustainable
environments.
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For Health
Occupations:
Found at
www:.kdheks.gov
/hoc
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sustainable environments.
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What is it?
Bedbugs Found in
Hospital
 A hospital is one of the most
recent victims of a bedbug
infestation that has hit a nursing
home, assisted living care facility
and an elementary school, among
other facilities, in central Maine.
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sustainable environments.
(continued):
 A hospital is one of the most recent
victims of a bedbug.
 Bedbug infestations are on the rise
nationally. The tiny insects, which
feed on human blood while people
are sleeping, are most commonly
found in hotels and people's homes,
but have also made their way to
retail stores, movie theaters and
healthcare facilities.
 Infestations have nothing to do with
cleanliness, and the bugs do not
carry or spread diseases. However,
they are very difficult and expensive
to eradicate once they've established
a presence. , assisted living care
facility and an elementary school,
among other facilities, in central
Maine.
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sustainable environments.
Emergency
Response
Time
Information
Ref: S&C-07-27
July 13, 2007
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sustainable environments.
42 CFR 485.16(a) of the
CAH emergency services
Conditions of Participation
(CoP) require a CAH to
have emergency services
available 24 hours a day,
while §485.618(d) sets
standards for emergency
services personnel,
including response times
for personnel to be
available on site.
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sustainable environments.
On November 24, 2006
CMS published a final rule
(71 FR 68159) amending
the CAH CoPs at 42 CFR
485.618(d). The revised
final rule allows an RN
with training and
experience in emergency
care to conduct some
medical screening
examinations (MSE).
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sustainable environments.
This is permitted only if:
* the RN is on site and
immediately available when an
individual comes to the CAH’s
emergency department and
requests examination or treatment;
* the RN has training and
experience in emergency care; and
* the nature of the request for
medical care is within the scope of
practice of an RN and consistent
with applicable State laws and the
CAH’s bylaws or rules and
regulations.
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sustainable environments.
When must the
physician be called ?
(When does the clock start
running – i.e. the 30 minutes or
60 minutes in frontier areas.)
 When there is no Qualified
Medical Person (QMP) on site to
complete the MSE;
 when it is beyond the scope and
practice of the RN present; or
 once the QMP is able to
determine the severity/scope of
the emergent situation and calls
the physician.
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sustainable environments.
What are our surveyors
looking for in their
investigation:
 Determine whether or not the
CAH uses RN’s to conduct medical
screening examinations (MSE’s)
of individuals coming to the CAH’s
emergency department.
 Surveyors are to confirm that the
CAH’s bylaws or rules and
regulations provide for RN’s to
screening examinations within
their scope of practice, consistent
with State law, and that the RN’s
performing such examinations
have documented training and
experience in emergency care.
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sustainable environments.
(continued)
 Surveyor must review at least
one medical record of an
emergency department patient
whose screening examination was
conducted by an RN, to confirm
that the examination was within
the scope of practice permitted by
an RN, consistent with State law
and the CAH’s bylaws or rules and
regulations.
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sustainable environments.
We can meet your
information needs with
one stop shopping at….
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sustainable environments.
If there is anything you have
questions that you do not
believe are being responded to
appropriately, please feel free to
call Charles Moore. The letter of
introduction you should be
receiving on each and every
survey gives my phone number
and e-mail address.
Our Vision – Healthy Kansan’s living in
safe sustainable environments.
Needing more
information?
Contact:
Charles Moore, Director Medical Services
Bureau of Child Care & Health Facilities
1000 SW Jackson, Suite 200
Topeka, KS 66612
e-mail: [email protected]
Desk Phone:
785-296-0131
FAX:
785-291-3419
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sustainable environments.
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Anita Hodge RN, State Survey Manager
Lynn Searles RN, Risk Mgmt Specialist
Tamara Wilkerson, Licensure & Certi.
Lois Wilkins, Sr. Admin Assist-Licensure
Theresa Carter, Sr. Admin Assist-Cert.
296-0127
291-3552
296-1263
296-1258
296-1249
(all are Area code 785)
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sustainable environments.
Web site for Critical Access
Hospital (CAH) Federal
Regulations
and
Guidelines
http://www.kdheks.gov/bcchf/index
.html
Click on Bureau of Health Facilities
and then forms to get to the above.
Our Vision – Healthy Kansan’s living in safe sustainable
environments.
Thought for the day…
“The only real mistake
is the one from which
we learn nothing”
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environments.
Questions?
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environments.
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